0000883984-11-000097.txt : 20111130
0000883984-11-000097.hdr.sgml : 20111130
20111130195631
ACCESSION NUMBER: 0000883984-11-000097
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20111130
FILED AS OF DATE: 20111130
DATE AS OF CHANGE: 20111130
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: COSTELLO RICHARD A
CENTRAL INDEX KEY: 0001073401
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-34634
FILM NUMBER: 111235247
MAIL ADDRESS:
STREET 1: C/O ICU MEDICAL INC
STREET 2: 951 CALLE AMANECER
CITY: SAN CLEMENTE
STATE: CA
ZIP: 92673
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: ICU MEDICAL INC/DE
CENTRAL INDEX KEY: 0000883984
STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841]
IRS NUMBER: 330022692
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 951 CALLE AMANECER
CITY: SAN CLEMENTE
STATE: CA
ZIP: 92763-6212
BUSINESS PHONE: 949-366-2183
MAIL ADDRESS:
STREET 1: 951 CALLE AMANECER
CITY: SAN CLEMENTE
STATE: CA
ZIP: 92763-6212
4
1
edgardoc.xml
PRIMARY DOCUMENT
X0304
4
2011-11-30
0
0000883984
ICU MEDICAL INC/DE
ICUI
0001073401
COSTELLO RICHARD A
951 CALLE AMANECER
SAN CLEMENTE
CA
92673
0
1
0
0
Vice President Sales
Common Stock
2011-11-30
2011-11-30
4
X
0
5000.0
31.195
A
5000.0
D
Common Stock
2011-11-30
2011-11-30
4
S
0
5000.0
43.4729
D
0.0
D
Non-Qualified Stock Option (right to buy)
31.195
2011-11-30
4
X
0
5000.0
D
2004-10-16
2015-04-16
Common Stock
5000.0
0.0
D
The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $43.53 to $43.38, inclusive. The reporting person undertakes to provide ICU Medical, Inc., any security holder of ICU Medical, Inc., or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this Form 4.
Transaction is the exercise of a derivative security; see Column 2.
By: Lynn DeMartini For: Richard A. Costello
2011-11-30